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DATE •
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.St.and hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of S€lectmen.
Am't.of Estimate $_Ovmer
Am't.Paid S _Address
•
•
19
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Work completed _
Sketch of Service Hel'e
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Connection made in Street.
Remarks:
Builder _
•Name Harsha11v.iJean Service No.
Lexingtor:.Mas s.Location
Kind of Pipe Size S\ze of Main
Location
Date ~[at.cial Amount Total Vat.>Amount
3 00
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33 10
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6 12
3 00
3 68
3 5'5
7 00
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Labor
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54
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Tractor 1 ~r.2)00
Littlefield ~~Qv~l 2 ~r•
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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS •
WATER DIYISION
The undersigned applies for a supply of wat€r at No.St.and hEreby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of Selectmen.
Arn't.of Estimate $_Owner
Am't.Paid $_Address
Builder _
Sketch of Service Here •
•19Workcompleted_Connection made in Street.
Remarks;
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